Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09015 | Date 02/04/2025 |
| Token No | SM/25-26/92 02/04/2025 | Serial | 063 |
| Patient Name | Mr. TRIPURARI KUMAR JHA | Contact No | 8420337697 |
| Address | 9/A/1 TARAPUKUR COLONY SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||